Hi Dr. JacobsI am trying to determine what tests can be ordered to determine why my last cycle failed. I have small intramural fibroids, less than 2 cms and located in such a position that is far away from the endrometrial lining.Corrected sperm chromatin issues fixed and also, heparin for elevated anticardio lipins.

Will an endrometrial biopsy aid in discovering if there is a implantation disorder in the lining of the uterus?

Does the prometrium vaginal tablets and the pio shots overcome identify anydeficiencies in the endrometrial lining?

On our web page, <www.texasfertility.com>, I have provided a discussion about an adhesion molecule (an integrin), which is apparently important for embryo implantation. Please remember, it may not be an endometrial problem.Good luck.